Risk factors associated with contagious caprine pleuropneumonia in goats of Amhara region, Ethiopia.

Contagious caprine pleuropneumonia (CCPP) is a serious contagious disease of goats, sheep and wild ruminants caused by Mycoplasma capricolum subspecies capripneumoniae. The disease is known for its high mortality, morbidity and economic losses. A cross-sectional study using multistage cluster sampling technique was conducted in Amhara region from January 2019 to July 2019 to estimate seroprevalence and identify risk factors of CCPP occurrence in the region. A total of 2080 goats from 61 villages and 12 districts of the region were tested for CCPP serostatus using Competitive Enzyme-Linked Immunosorbent Assay (C-ELISA). A multilevel mixed-effect logistic regression model was used to identify risk factors of CCPP seropositivity at animal and flock-level. The serum sample results revealed an overall animal level seroprevalence of 5.1% (95% CI: 3.8-6.6) and flock-level prevalence of 26.0% (95% CI: 19.7-33.4). At individual animal level, presence of other health problems (OR = 45.9 (95% CI: 25.3-83.4)), age (adult age (OR = 6.2 (95% CI:3.4-11.4)) and old age (OR = 13.1 (95% CI: 6.2-27.8))), and breed type (Afar (OR= 32.3 (95% CI: 2.9-366.1)), Central highland (OR=13.7 (95% CI: 1.3-140.6)), and western highland (OR=16.2 (95% CI: 1.4-185.7))) were identified as risk factors for CCPP seropositivity. In contrast, contact with other flocks (OR = 59.9 (95% CI: 6.1-585.6)), presence of trade route (OR = 3.1 (95% CI: 1.0-9.1)) and presence of sheep (OR = 2.6 (95% CI: 1.2-5.7)) were flock-level risk factors for CCPP seropositivity. Generally, CCPP appears to be common among goats of Amhara region. Goat flocks dominated with older age animals; breeds of Afar, central highland, and western highland; raise with sheep; have contact with other flocks; and kept along trade routes are more at risk for CCPP. Hence, awareness creation to the producers, movement control, and regular prophylactic vaccination should be considered to control CCPP in Amhara region.

Knowledge, attitude and practice related to rabies among residents of Amhara region, Ethiopia.

Background: Rabies is an important viral zoonotic disease with high fatality rate and economic losses. The impact of rabies is considerably high in Asia and Africa. The study was designed to assess the community's rabies knowledge, attitude and practice (KAP) and their determinants in Amhara region, Ethiopia. Methods: The study was done based on a questionnaire survey of 899 participants in towns and rural districts of Amhara region. Multistage cluster sampling procedure was used to select participants. Quantitative score was generated for KAP and the scores were dichotomized as adequate and inadequate knowledge, desirable and undesirable attitude, and good and poor practice. Descriptive statics and mixed effect logistic regression considering kebele and villages as a random effect was used to see the association of predictor variables towards adequate knowledge, desirable attitude and good practice. Results: About 61%, 72% and 45% of the respondents have adequate knowledge, desirable attitude and good practice scores, respectively. Almost all (99%) of the respondents rightly claimed that rabies is transmitted through bite of dogs. Majority of the participants (76.8%) strongly agree that rabies is an important zoonotic disease that can threaten the lives of humans and animals. Only 8% of the respondents had a practice of washing and rinsing dog bite wounds for the prevention of rabies. Female participants were less likely to have adequate knowledge than males (OR = 0.58, 95% CI = 0.35-0.96). Respondents in urban areas were more likely to have desirable attitude than rural residents (OR = 12.4, CI = 1.38-11.67). Conclusion: The study showed that participants have good knowledge and attitude towards rabies but poor rabies prevention and control practices. The community public health education should focus on translation of these good knowledge and favorable attitude into practices that effectively reduces rabies burden.

Prevalence and risk factors of epizootic lymphangitis in cart pulling horses and mules in Central and South Gondar zones, Amhara region, Ethiopia.

Epizootic lymphangitis (EZL) is a chronic, contagious disease of equids caused by the fungus Histoplasma capsulatum var. farciminosum. The disease is often prevalent in cart pulling equids in developing countries. This study was undertaken in Central and South Gondar zones of Amhara region, Ethiopia with the objectives of estimating the prevalence of EZL in cart pulling horses and mules and identifying the risk factors of the disease. Two towns, one high altitude and one mid altitude, from each of the two zones were included for the study. A total of 528 cart pulling horses and mules from the selected towns were examined clinically, screened by physical examination based on clinical signs of the disease and confirmed by microscopic mycological examination of the causative agent. Potential risk factors data were collected through observation of cart animals and interviewing of cart owners and were statistically evaluated using mixed effect logistic regression. An overall EZL prevalence of 12.5% (95% CI: 9.9-15.6%) was found. The prevalence was 19.9% (95% CI: 15.8-24.8%) in horses and 5.8% (95% CI: 2.4-13.2%) in mules. The disease was prevalent in mid altitude towns but was not detected in high altitude cold towns of the study zones. The risk factor analysis revealed that sharing of harness, mingling of cart animals in cart stations, communal housing and pre-existing trauma wound were risk factors of EZL in cart pulling horses and mules. The study generally indicated that EZL is a prevalent problem in mid altitude towns that endangers the livelihood of the cart owners and wellbeing of cart pulling equids. This warrants the initiation of a control strategy mainly focusing on improving management of cart pulling equids related to the identified risk factors to ameliorate the EZL problem in the study area.

Reduced Milk Production, Economic Losses, and Risk Factors Associated to Subclinical Hypocalcemia in Holstein Friesian × Zebu Crossbreed Cows in North-West Ethiopia.

Hypocalcemia is a metabolic disorder that occurs when calcium leaves the blood to support milk production or for the growth of the fetus faster than calcium can be put back into the blood. Subclinical hypocalcemia (SCH) refers to clinically normal cows but with concentrations of calcium lower than measured in normal cows. A study was conducted to estimate economic losses and to identify risk factors associated with SCH in Holstein Friesian × Zebu crossbreed Cows in North-West Ethiopia. A total of 221 lactating dairy cows obtained from 81 dairy farms were selected and serum samples were collected and analyzed to estimate the level of calcium in the serum using an automated electrolyte analyzer (Roch, UVL Japan, 2014). Forty-seven cows obtained from 12 farms were grouped into two: cows with SCH and cows without SCH and milk yield was measured for eight consecutive days to estimate milk production loss associated with SCH. Prevalence was estimated and univariable and multivariable logistic regression analyses were used to identify determinants of SCH. The prevalence of SCH was 20.3% (51/221, 90% CI = 18.6%-28.1%). Grazing on pasture, membership to dairy cooperative, feeding above the cows' requirement (based on farmers' opinion), and previous experience of metritis reduced the odds of SCH (P < 0.05). The average economic losses associated with reduced milk production due to SCH were 11.25 Ethiopian Birr (ETB) (1 ETB = 0.023 US Dollar) and 3,026.25 ETB (69.6 US Dollar) per cow per lactation, respectively. The main findings of the study have shown that SCH was a problem in crossbreed dairy cows in Northwestern Ethiopia and identified few risk factors that could be targeted to mitigate the problem. Actually, in this study, the economic cost of SCH was significant and needs attention in the dairy extension and dairy health training programs.

Health and economic burden of foodborne zoonotic diseases in Amhara region, Ethiopia.

Diseases from food of animal origin are common health problems in Ethiopia. A cross-sectional study was carried out to estimate health and economic burden, and to identify demographic factors associated with community awareness of foodborne zoonotic diseases in Amhara region, Ethiopia. Data was collected from 435 households in three towns: Gondar, Lalibela and Debark. A retrospective data was also collected from health records in each town. The health burden due to zoonotic diseases was estimated at 0.2, 0.1 and 1.3 DALYs per household per year and at 73.2, 146.6 and 1,689.5 DALYs out of 100,000 populations per year in Gondar, Lalibela and Debark, respectively. The overall health burden due to foodborne zoonotic diseases (aggregated over the 435 households in the three towns) was estimated to be 89.9 DALYs per 100,000 populations per year. The economic impact of foodborne zoonotic diseases in the three towns of Amhara regional state was 278.98 Ethiopian Birr (ETB) (1ETB = 0.025 US Dollar) per household per year and 121,355.68 ETB per year. Costs of preventive measures followed by costs of patients' time made the highest contribution while costs of diagnosis made the lowest contribution to the total economic burden of foodborne zoonotic diseases. From a total of 435 respondents, 305 (70.1%) had known the presence of zoonotic diseases. Level of education, number of families in the house and income were highly associated with awareness of zoonosis. Although majority of respondents had known zoonotic diseases exists (70.1%) and disease can be acquired from animal source food (63.2%), the health and economic burden associated to foodborne zoonotic diseases are still high. Therefore, changing mindset and practical training aiming in controlling foodborne zoonotic diseases may be suggested to the community in the health improvement extension service.

Seroprevalence and Risk Factors of Contagious Bovine Pleuropneumonia in Selected Districts of North Gondar Zone, Ethiopia.

Contagious bovine pleuropneumonia (CBPP) is an infectious and highly contagious respiratory disease of cattle and water buffalo, which is caused by the Mycoplasma mycoides subspecies mycoides small colony. It induces significant economic losses and leads to a serious food security problem, negatively influencing peoples' livelihoods in affected countries. The disease has been reported in different parts of Ethiopia with prevalence ranging from 1.78 to 96%. However, there is not enough epidemiological information about CBPP in the northwestern part of the country, particularly in North Gondar Administrative Zone. This cross-sectional study, therefore, was conducted in four selected districts (Metema, Alefa, Quara, and Dembia) of North Gondar Administrative Zone to detect the incursion and estimate the seroprevalence of CBPP and to identify the potential predisposing factors associated with the spread and occurrence of CBPP in the area. A total of 751 serum samples were collected from 41 herds (villages) having no history of CBPP vaccination. Information like age, sex, breed, herd size, and management were collected during blood sample collection. Data related to agro-climatic zone, trade trekking route from or through CBPP endemic/epidemic zone, transhumance grazing route, vehicle route, and bordering with CBPP epidemic/endemic zone were obtained from district agricultural offices. The serum was screened for CBPP using competitive enzyme-linked immunosorbent assay (c-ELISA) test. The animal level and herd level apparent seroprevalences were 12.92% (95% CI: 10.70-15.52) and 65.85% (95% CI: 49.57-79.10), respectively. The true animal level and herd level prevalences were estimated at 20.13% (95% CI: 16.64-24.21) and 65.22% (95% CI: 48.64-78.72%), respectively. At the animal level, trekking route from or through CBPP endemic/epidemic zone to the study area [OR = 4.77 (95% CI: 1.92-11.84) compared to without trekking route] was identified as the most important risk factor for CBPP spread and seropositivity. In general, epidemiological evidence of the present study indicates that CBPP is a prevalent disease, and animal trekking is an important risk factor for spread of the disease in the study area. This needs due attention from the government and other concerned bodies for its prevention and control to mitigate its economic impact.

Seroepidemiology of Toxoplasma gondii in small ruminants in Northwest Ethiopia.

This cross-sectional study with a cluster random sampling method was undertaken from November 2018 to May 2019 to estimate the prevalence and assess the potential risk factors of T. gondii seropositivity, and to assess the association of the T. gondii seropositivity with reproductive losses in small ruminants in Northwest Ethiopia. A total of 576 blood samples from 135 small ruminant flocks were collected and assayed for T. gondii IgG antibodies using the Toxo-latex slide agglutination test. A questionnaire survey was also conducted to gather information on the potential risk factors of T. gondii seropositivity and on the status of reproductive losses in the small ruminant flocks. The study demonstrated a high flock and animal level T. gondii seroprevalence of 96.3% (95% CI: 91% - 98%) and 70.48% (95% CI: 68% - 79%), respectively. Mixed effect logistic regression analysis of the potential risk factors showed that the odds of seropositive for T. gondii was significantly higher in sheep (OR = 1.7, 95%CI: 1.19-2.46) than in goats, in adult (OR = 1.6, 95%, CI: 1.11-2.31) than in young, in the presence of cats (OR = 2, 95%CI:1.32-3.04) than in the absence of cats, in the lack of knowledge on the role of cats as a pathogen source than knowing it (OR = 1.82, 95% CI:1.21-2.77). The study also showed that the likelihoods of experiencing the abortion, neonatal death and weak birth in the previous one year in T. gondii seropositive flocks were 20.76 (95% CI: 2.2-195.1, p < 0.001), 8.90 (95% CI: 1.99-83.0, p = 0.021) and 9.33 (95% CI: 1.1-86.2, p = 0.019) times more than the seronegative flocks, respectively. In conclusion, this study revealed high flock and animal level seroprevalence of T. gondii in the small ruminant population in northwest Ethiopia, suggesting that lamb and goat might be a source of this pathogen for human infection if their infected meat is consumed undercooked or uncooked. Besides, the observed association of T. gondii seropositivity with reproductive losses may suggest the economic importance of the pathogen for the small ruminant producers. Therefore, it warrants control attention to reduce its economic and public health burden in the study areas. Further works on the economic impacts, bioassay, isolation, and genetic characterization of the pathogen are suggested.

Spatial and temporal distribution of foot and mouth disease outbreaks in Amhara region of Ethiopia in the period 1999 to 2016.

BACKGROUND: Foot and mouth disease (FMD) is an economically important trans-boundary viral disease of cloven-hoofed animals. It is caused by FMD virus, which belongs to the genus Aphthovirus and family Picornaviridae. FMD is a well-established endemic disease in Ethiopia since it was first detected in 1957. This retrospective study was carried out to identify the spatial and temporal distribution of FMD outbreaks in Amhara region of Ethiopia using 18 years (January 1999-December 2016) reported outbreak data. RESULTS: A total of 636 FMD outbreaks were reported in Amhara region of Ethiopia between 1999 and 2016 with an average and median of 35 and 13 outbreaks per year respectively. In this period, FMD was reported at least once in 58.5% of the districts (n = 79) and in all administrative zones of the region (n = 10). The average district level incidence of FMD outbreaks was 4.68 per 18 years (0.26 per district year). It recurs in a district as epidemic, on average in 5.86 years period. The incidence differed between administrative zones, being the lowest in East Gojjam and highest in North Shewa. The occurrence of FMD outbreaks was found to be seasonal with peak outbreaks in March and a low in August. The long-term trend of FMD outbreaks indicates a slight, but statistically significant (p < 0.001) decrease over the study period. CONCLUSION: FMD occurred in all zones of the region and showed statistically significant decrease in the long-term trend. Numbers of outbreaks were relatively higher during dry season. The spatial and temporal distribution identified in this study should be considered in controlling the disease. As unregulated and frequent animal movements are the likely causes of high outbreak occurrence during the dry season, animal movement regulations should be considered for the long-term control of FMD.

Incidence of rabies in humans and domestic animals and people's awareness in North Gondar Zone, Ethiopia.

BACKGROUND: Rabies is a zoonotic disease that has been prevalent in humans and animals for centuries in Ethiopia and it is often dealt with using traditional practices. There is lack of accurate quantitative information on rabies both in humans and animals in Ethiopia and little is known about the awareness of the people about the disease. In this study, we estimated the incidence of rabies in humans and domestic animals, and assessed the people's awareness about the disease in North Gondar zone, Ethiopia. METHODOLOGY/PRINCIPAL FINDINGS: The incidence of rabies in humans and domestic animals was prospectively followed up for one year period based on clinical observation. A questionnaire was also administered to 120 randomly selected dog owners and 5 traditional healers to assess the knowledge and practices about the disease. We found an annual estimated rabies incidence of 2.33 cases per 100,000 in humans, 412.83 cases per 100,000 in dogs, 19.89 cases per 100,000 in cattle, 67.68 cases per 100,000 in equines, and 14.45 cases per 100,000 in goats. Dog bite was the source of infection for all fatal rabies cases. Ninety eight percent of the questionnaire respondents were familiar with rabies and mentioned dog bite as a means of transmission. But discordant with current scientific knowledge, 84% and 32% of the respondents respectively mentioned any type of contact (irrespective of skin condition) with saliva, and inhalation as a means of transmission of rabies. Eighty four percent of the respondents relied on traditional healers for management of rabies. CONCLUSIONS: The study shows high canine rabies burden, and lack of sufficient awareness about the disease and high reliance on traditional treatment that interfere with timely post exposure management. Vaccination of dogs, proper post exposure management, and increasing the awareness of the community are suggested to reduce the disease burden.